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Updated: Jul 16, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

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Published on: November 8, 2024

Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report

J M McCloud1, H Doucas, A D N Scott

  • 1Department of General Surgery, Leicester Royal Infirmary, Leicester, UK. joe@mccloud.com

Annals of the Royal College of Surgeons of England
|March 31, 2007
PubMed

Fournier's gangrene has been described after injection sclerotherapy and banding of haemorrhoids as well as after conventional haemorrhoidectomy. In addition, there have been several cases following stapled haemorrhoidopexy. A patient with this complication nearly always presents within the first week following surgery. We present an illustrative case of a patient who underwent stapled haemorrhoidopexy for prolapsed haemorrhoids and presented with fever, urinary retention and peri-anal pain 39 days later. At re-operation, there was extensive peri-anal necrosis. After wide excision and fashioning of a colostomy, the patient recovered. Our case shows that late presentation can occur.

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